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Year : 2021  |  Volume : 27  |  Issue : 2  |  Page : 141-145

Association of low-lying pubic tubercle with inguinal hernia

Department of General Surgery, Government Medical College, Thiruvananthapuram, Kerala, India

Correspondence Address:
Dr. Meer M Chisthi
Department of General Surgery, Government Medical College, Thiruvananthapuram - 695 011, Kerala
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ksj.ksj_42_21

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Background: Low-lying pubic tubercle can lead to narrow origin of internal oblique muscle and alteration in structural anatomy making the shutter mechanism of internal oblique ineffective and predispose to inguinal hernia. Methods: A case–control study was done to find the prevalence of inguinal hernia in patients with low pubic tubercle. Twenty-two cases and 22 control male patients with symptomatic uncomplicated inguinal hernia were studied. Distance between two anterior superior iliac spines and vertical distance from pubic tubercle to the inter-spinous spine were measured. The relation of these lines to patients' height and weight and to each other was calculated. Results: The mean value of spine to spine distance was 26.32 cm in cases and 25.86 cm in controls. The mean distance of this line from pubic tubercle was 7.82 cm in cases and 6.77 cm in controls. Vertical distance from the pubic tubercle to inter-spinous line and its ratio with height and weight were found to be significantly associated with inguinal hernia by multivariate analysis. Conclusions: People with low-lying pubic tubercle have a less efficient protective mechanism of inguinal canal and thus greater predisposition for inguinal hernia. Pelvimetric assessment can be used to pick up susceptible adults to plan early surgery and to decide about prophylactic repair of uninvolved contra-lateral side.

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